Evaluation of Liver Disease in Individuals Attending Alcohol Abuse Treatment - a Randomized Controlled Pilot Trial

NCT ID: NCT05244720

Last Updated: 2024-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2022-09-30

Brief Summary

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This pilot study aims to evaluate the feasibility of a non-blinded randomized controlled trial with a parallel group design of an invitation to an evaluation of liver disease (intervention) compared to standard care with no invitation, among individuals in alcohol abuse treatment.

Detailed Description

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Alcohol-related liver disease (ALD) is responsible for about 80% of all liver disease in Denmark. The prognosis for ALD is good, if detected early and abstinence is obtained. Unfortunately ALD is often diagnosed at a late state and the 1-year survival is only 30%.

Currently there is no available systematic screening for fibrosis/cirrhosis among patients with longterm abuse of alcohol and thereby high risk for developing ALD.

Transient elastography (TE) is a non-invasive, risk free and quick method of detecting fibrosis. TE is validated for diagnosing fibrosis and ruling out cirrhosis.

40 patients will be enrolled in the study with a 1:1 randomization. Baseline data is collected and informed concent is obtained at the local alcohol abuse treatment center, Novavi Køge. The fibroscan and blood samples are done at Zealand University Hospital, Køge. Follow-up is done after 6 months, by a project nurse, blinded to the intervention.

If the study proves to be feasible, our aim is to extend the study in order to investigate wether the interventions described above, could help decrease alcohol consumption/maintain abstinence for patients in alcohol treatment. Moreover the prevalence of fibrosis and cirrhosis found by fibroscan is examined.

Conditions

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Liver Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Pilot study to determine feasibility
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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Intervention

Baseline questionnaire filled out at recruitment. Invited to an examination of the liver, by fibroscan and blood samples, shortly after recruitment.

Follow-up by phone after 6 months.

Group Type EXPERIMENTAL

Fibroscan

Intervention Type DIAGNOSTIC_TEST

A percutaneous scan, that measures shear wave velocity. It estimates liver stiffness.

Blood samples

Intervention Type DIAGNOSTIC_TEST

Blood samples to asses the function of liver, kidney and bone marrow, as well as nutrition/vitamin status.

Control

Baseline questionnaire filled out at recruitment. Follow-up by phone after 6 months. Invited to an optional examination of the liver, by fibroscan and blood samples, after 6 months.

Group Type OTHER

Fibroscan

Intervention Type DIAGNOSTIC_TEST

A percutaneous scan, that measures shear wave velocity. It estimates liver stiffness.

Blood samples

Intervention Type DIAGNOSTIC_TEST

Blood samples to asses the function of liver, kidney and bone marrow, as well as nutrition/vitamin status.

Interventions

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Fibroscan

A percutaneous scan, that measures shear wave velocity. It estimates liver stiffness.

Intervention Type DIAGNOSTIC_TEST

Blood samples

Blood samples to asses the function of liver, kidney and bone marrow, as well as nutrition/vitamin status.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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Transient elastography

Eligibility Criteria

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Inclusion Criteria

* must be enrolled at alcohol treatment center Novavi Koege, Denmark
* Maximum 6 months of treatment at Novavi Koege

Exclusion Criteria

* known severe liver disease
* life expectancy less than 6 months
* unable to give informed written consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zealand University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gro Askgaard, PhD

Role: STUDY_CHAIR

Department of Medicine, Zealand University Hospital

Lone Madsen, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Medicine, Zealand University Hospital

Locations

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Department of Medicine, Zealand University Hospital

Køge, , Denmark

Site Status

Countries

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Denmark

References

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Jepsen P, von Wowern N, Madsen LG, Klausen MK, During S, Benthien KS, Winther-Jensen M, Petersen J, Askgaard G. The LIVER CARE trial - screening for liver disease in individuals attending treatment for alcohol use disorder: a randomized controlled feasibility trial. Pilot Feasibility Stud. 2024 May 16;10(1):78. doi: 10.1186/s40814-024-01504-5.

Reference Type DERIVED
PMID: 38755732 (View on PubMed)

Other Identifiers

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SJ-934

Identifier Type: -

Identifier Source: org_study_id

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